ATI RN
ATI RN Maternal Newborn Updated 2023 Questions
Extract:
Parents of a newborn about the Plastibell circumcision technique.
Question 1 of 5
Which of the following information should the nurse include?
Correct Answer: A
Rationale: The correct answer is A because it provides important information about the expected post-operative outcome related to wound healing. Yellow exudate is a normal part of the healing process, indicating the presence of white blood cells and tissue debris. This knowledge helps the caregiver differentiate between normal and abnormal wound healing.
Choices B, C, and D are incorrect because they do not provide relevant or accurate information related to circumcision care.
Choice B refers to a potential sign of infection or poor circulation, not a routine post-circumcision finding.
Choice C inaccurately states the timing of Plastibell removal, which typically occurs after a few days, not 4 hours.
Choice D is unrelated to circumcision care and may cause discomfort if the diaper is too tight.
Extract:
A client who reports methadone use during pregnancy.
Question 2 of 5
The nurse should expect the newborn to exhibit which of the following manifestations?
Correct Answer: A
Rationale: The correct answer is A: Poor feeding. Newborns may exhibit poor feeding due to various reasons such as immature sucking reflex, inadequate milk production, or other health issues. This is a common manifestation that nurses should expect and address promptly to ensure the newborn's well-being. Weak cry (
B) and absent Moro reflex (
C) are concerning signs that may indicate neurological or developmental issues, but they are not typical manifestations expected in all newborns. Respiratory rate of 30/min (
D) is within the normal range for newborns, so it is not a significant concern unless accompanied by other respiratory distress symptoms.
Extract:
A client who is experiencing an amniotic fluid embolism during labor.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct action for the nurse to take is to prepare to initiate cardiopulmonary resuscitation (CPR) as indicated by the situation's urgency and potential life-threatening nature. CPR is essential in cases of cardiac or respiratory arrest to maintain circulation and oxygenation. Administering ephedrine IV (
Choice
A) is not appropriate without further assessment and may not be indicated in this scenario. Assisting the client to empty their bladder (
Choice
B) is important for comfort but is not the priority over CPR. Assessing for clonus (
Choice
C) is not relevant in an emergency requiring immediate CPR.
Therefore, preparing to initiate CPR (
Choice
D) is the most critical and life-saving action to take in this situation.
Extract:
A postpartum client who delivered vaginally 8 hr ago.
Question 4 of 5
Select the 3 findings that require immediate follow-up.
Correct Answer: B,C,D
Rationale: The correct findings that require immediate follow-up are B: Lateral deviation of the uterus, C: Large amount of lochia rubra, and D: Uterine tone soft. Lateral deviation of the uterus could indicate a uterine anomaly or complication post-delivery. Large amount of lochia rubra may suggest excessive bleeding, which needs to be assessed promptly. Soft uterine tone can be a sign of uterine atony, a serious postpartum complication. Peripheral edema, soft breasts, low deep tendon reflexes, and mild pain rating do not typically require immediate intervention or follow-up.
Extract:
A client who is experiencing infertility and is requesting in vitro fertilization.
Question 5 of 5
Which of the following information should the nurse provide to the client?
Correct Answer: B
Rationale: The correct answer is B: Inform the client about the possible need for the reduction of multiple fetuses. This information is crucial in cases of multiple pregnancies to ensure the client is aware of the potential risks and options available. Reduction of multiple fetuses may be necessary for the health and safety of both the mother and babies. Providing this information allows the client to make informed decisions regarding their pregnancy.
Choices A, C, and D are incorrect because they do not address the specific concern of managing multiple pregnancies or the potential need for fetal reduction. It is important for the nurse to prioritize relevant and essential information for the client's understanding and decision-making process.